Health inspection·March 22, 2024

F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to ensure personal privacy during personal care for 1 of 5 resident (Resident #1) observed for personal privacy in that: Residents Affected - Few While performing the incontinent care for Resident #1, CNA A and CNA B did not ensure Resident #1's personal privacy. This deficient practice could affect residents and could result in loss of dignity and low self-esteem. The findings were: Record review of Resident #1's face sheet, dated 3/20/24, Resident #1 was admitted to the facility on [DATE] with diagnoses of muscle wasting and atrophy [shrinking of muscle or nerve tissue], not elsewhere classified, multiple sites, unspecified speech disturbances, history of falling, and cognitive communication deficit [difficulty communicating due to injury to the brain]. Record review of Resident #1's quarterly MDS, dated [DATE], revealed Resident #1's BIMS score was 6, signifying severe cognitive impairment. Observation on 3/19/24 at 1:39 p.m. revealed CNA A and CNA B entered Resident #1's room. At 1:44 p.m., Resident #1's roommate, Resident #4, went to the restroom inside their (Resident #1's and Resident #4's) room. At 1:45 p.m., CNA A and CNA B pulled Resident #1's privacy curtain most of the way, but left an opening in the curtain. CNA A and CNA B then began Resident #1's incontinent care. At 1:49 p.m., while Resident #1's perineal area was uncovered and the staff were still performing Resident #1's incontinent care, Resident #4 exited the bathroom and walked passed the opening in the curtains. During a joint interview on 3/19/24 at 1:56 p.m., CNA A confirmed Resident #1's privacy curtain was open during Resident #1's incontinent care. CNA B confirmed the privacy curtain should have been completely closed. CNA B stated it was important to close the curtain for the purposes of privacy and stated she did notice with Resident #4 walked passed the opening in the privacy curtain during Resident #1's incontinent care. During an interview on 3/22/24 at 11:15 a.m., when asked if the facility had a quality assurance process for privacy, the DON stated, In-servicing everybody on the rights of the resident to privacy and we have that on [the facility's online education portal] in our resident rights. We do a lot of in-service huddles with the staff. And some of those are randomly when we're rounding or if the (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 6 Event ID: 676158 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 676158 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/22/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Sonterra Health Center 18514 Sonterra Place San Antonio, TX 78258 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)